Sakata K, Nonomura O, Ito Y, Tsuchiya J, Ohashi H
Second Department of Surgery, Gifu University School of Medicine, Japan.
No Shinkei Geka. 1987 Oct;15(10):1057-63.
Experimental investigation was performed on pathogenesis of neurogenic stress gastric ulceration, i.e. the gastric ulceration occurring under stress in individuals having brain lesions. Male Wistar rats, weighing 250 to 300 g, were divided into the following 4 groups: a) the normal group, b) the subarachnoid hemorrhage (SAH) group, in which 0.2 ml of arterial blood had been injected into the cisterna magna 3 days before, c) the brain lesion group, in which various right hypothalamic nuclei had been coagulated stereotaxically 7 days before, and d) the brain lesion plus SAH group, in which hypothalamic lesions had been produced 7 days before, followed by SAH 3 days before experimentation. They were stressed by applying restraint plus water immersion for 3 hours, and measurements were done on relative ulcer lengths (RUL) in the glandular stomach, gastric acid secretion, gastric mucosal blood flow (MBF) and gastric emptying function. In the SAH group, stress gastric ulcerations, 18.2 +/- 1.4 mm (mean +/- SE) in RUL, were produced, being significantly larger than the value, 10.2 +/- 1.7 mm, in the normal group. Stress ulcerations were milder than the normal control in the rats having lesions at the preoptic area (POA) or the anterior hypothalamic area (AHA), while the rats having ventromedial hypothalamic (VMH) lesions showed marked ulcerations, 21.8 +/- 2.7 mm in RUL, which were significantly larger than those in the normal group. Addition of SAH to VMH lesions did not cause a further increase in RUL.(ABSTRACT TRUNCATED AT 250 WORDS)
对神经源性应激性胃溃疡的发病机制进行了实验研究,即脑部有病变的个体在应激状态下发生的胃溃疡。体重250至300克的雄性Wistar大鼠被分为以下4组:a)正常组;b)蛛网膜下腔出血(SAH)组,3天前已向其脑池中注入0.2毫升动脉血;c)脑损伤组,7天前已通过立体定向凝固右侧下丘脑的各个核团;d)脑损伤加SAH组,7天前造成下丘脑损伤,实验前3天再进行SAH。通过束缚加浸水3小时使其产生应激,然后测量腺胃的相对溃疡长度(RUL)、胃酸分泌、胃黏膜血流量(MBF)和胃排空功能。在SAH组中,产生了应激性胃溃疡,RUL为18.2±1.4毫米(平均值±标准误),明显大于正常组的10.2±1.7毫米。在视前区(POA)或下丘脑前区(AHA)有病变的大鼠中,应激性溃疡比正常对照组轻,而腹内侧下丘脑(VMH)有病变的大鼠出现明显溃疡,RUL为21.8±2.7毫米,明显大于正常组。VMH损伤后再加上SAH并未使RUL进一步增加。(摘要截断于250字)